Dermal Fillers Specialist

Exclusively Faces Cosmetic Surgery & MediSpa

Matthew Karen, MD F.A.C.S.

Cosmetic Surgery & MediSpa located in Winchester, VA

Dermal fillers help to create a smoother, fuller appearance in the face, especially the cheeks and lips. Many people choose to receive dermal fillers as they age, as this type of enhancement does a wonderful job of regenerating a look of youth. If you’re interested in receiving dermal fillers, schedule an appointment with Dr. Matthew Karen of Exclusively Faces, Cosmetic Surgery & MediSpa in Winchester, Virginia by calling or using the online scheduling tool.

Dermal Fillers Q & A

What are dermal fillers made of?

Dermal fillers, often more well known as injectable implants, soft tissue fillers, or wrinkle fillers, are medical device implants approved by the Food and Drug Administration (FDA). There are a number of FDA-approved filler products. In general, fillers are categorized by the substance from which they’re made. To be safe, stick with fillers are FDA approved and attainable only through a licensed physician, such as a board-certified professional like Dr. Karen.

Hyaluronic acid (HA) is one of the filler options. It's a naturally occurring substance already found in your skin, meant to help pump and hydrate. Typically soft and gel-like, the results last 6-12 months, perhaps even longer, as your body begins to absorb the particles. Dr. Karen suggests Galderma's HA fillers, Restylane® Refyne and Restylane® Defyne, as well as Juvéderm, which supply flexibility and support in your face especially.

Another naturally occurring substance, this one found in the bones, is calcium hydroxylapatite (CaHA). Calcium hydroxylapatite’s particles are microscopic and suspended in a smooth gel. Typically thicker than other fillers, they also last longer, typically at least about 12 months.

Poly-L-lactic acid is a biocompatible, biodegradable synthetic substance. Technically classified as a "collagen stimulator," it smooths fine lines by helping skin rebuild its natural collagen. This type of filler can last up to two years, and Dr. Karen uses the Sculptra® Aesthetic for Poly-L-lactic acid fillers.

Polymethyl methacrylate (PMMA) is a synthetic, biocompatible substance that takes the form of “microspheres,” or tiny balls, that remain underneath the skin and provide support. PMMA fillers provide structure and firmness and do not have a typical expiration date; they’re known to work indefinitely.

The only type of filler treatment that requires surgery, autologous fat injections, or facial fat grafting, is when Dr. Karen harvests fat from another area of the body and injects it into your face. This restores volume to cheeks, temples, lower eyelids, and various other areas. Much like PMMA, this filler can last indefinitely.

Are there risks involved with dermal fillers?

As with any medical procedure, use of dermal fillers has risks, though typically low risks. Any dermal fillers have the ability to cause short- or long-term side effects, as well as various permanent side effects.

Common side effects include:

  • Bruising
  • Redness
  • Swelling
  • Tenderness at the site of injection
  • Itching
  • Rash.

These side effects usually disappear mostly if not fully 2-3 after your treatment.

What is the recovery process like for dermal fillers?

The recovery time varies from patient to patient, but generally, people find they can return to normal activity within 48 hours after receiving injections, pending Dr. Karen’s approval.

If you’re interested in receiving dermal fillers, don’t hesitate to call Exclusively Faces, Cosmetic Surgery & MediSpa or use the easy online booking tool to set up an appointment with Dr. Karen.

540-205-8747